MS‑DRG 328: Stomach, Esophageal and Duodenal Procedures without CC/MCC

What Medicare paid hospitals for MS‑DRG 328 in 2024: nationally, state by state and across hospitals.

Paid per case$12,7680.8× the all-DRG average

Discharges2,1410.04% of all Medicare discharges

Total paid$27.3M239th largest MS‑DRG by spending

Hospitals121in 38 states and DC

Charges ÷ paid6.9×$87,700 average charge

Relative weight1.6472FY2027, 1.9-day geometric mean stay; FY2026 1.6023 (+2.8%)

In 2024 Medicare paid hospitals an average of $12,768 per discharge for MS‑DRG 328, across 2,141 fee-for-service discharges at 121 hospitals: 0.04% of all Medicare inpatient discharges and $27.3M in total, the 239th largest MS‑DRG by Medicare spending.

By state, the average ran from $8,311 in Louisiana to $18,216 in California. Across hospitals, half were paid between $10,190 and $13,905 per case, and the median hospital $11,810; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $87,700 on average for these stays, 6.9 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 328 on the interactive map Price an MS‑DRG 328 claim at any hospital Every MS‑DRG

What changed in FY2027

The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.

MS‑DRG 328, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	1.6023	1.6472	+2.8%
Geometric mean stay (days)	2.0	1.9	−0.1
Average stay (days)	2.5	2.5	0.0

Not capped: the +2.8% is CMS’s yearly recalibration of every weight from recent claims and cost data.
Name, MDC and transfer status are unchanged.

FY2027 national base payment (illustration)

$12,169.43

The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.

FY2027 national base payment across the severity levels of MS‑DRG 328
MS‑DRG	Severity	Payment ($)	Step ($)
326	with MCC	36,523.07	+24,353.64
327	with CC	18,089.40	+5,919.97
328	without CC/MCC	12,169.43	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 328 at a hospital

Paid per case, by state

MS‑DRG 328 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$19,493	63	4	1.2×
California	$18,216	167	10	9.9×
New York	$15,599	152	9	6.0×
Massachusetts	$14,430	87	5	3.5×
Washington	$13,645	60	3	5.5×
New Jersey	$13,258	57	3	5.4×
Georgia	$13,227	27	2	8.6×
Indiana	$12,917	44	2	8.6×
Iowa	$12,874	14	1	5.7×
Oregon	$12,721	78	3	4.6×
Oklahoma	$12,605	14	1	10.6×
North Carolina	$12,595	91	6	5.4×
Minnesota	$12,575	25	1	5.4×
Missouri	$12,427	67	1	4.8×
Utah	$12,426	46	2	5.2×
Michigan	$12,260	53	2	6.1×
Pennsylvania	$12,182	147	9	7.9×
Maine	$12,100	11	1	5.5×
Virginia	$11,976	91	6	7.8×
South Carolina	$11,809	45	2	7.1×
Arizona	$11,726	62	4	9.4×
Delaware	$11,365	25	1	4.2×
Idaho	$11,352	12	1	10.7×
Illinois	$11,265	13	1	10.8×
Ohio	$11,042	87	4	7.3×
Tennessee	$10,980	69	4	5.3×
District of Columbia	$10,929	11	1	8.6×
Florida	$10,903	190	10	9.4×
Wisconsin	$10,574	11	1	9.4×
Kansas	$10,384	47	3	7.1×
Montana	$10,349	42	3	4.5×
Texas	$10,262	91	5	8.4×
Nebraska	$10,171	11	1	4.9×
Kentucky	$10,047	50	3	8.2×
West Virginia	$9,917	30	2	8.6×
Arkansas	$9,394	15	1	7.0×
Mississippi	$8,542	11	1	5.2×
Alabama	$8,331	14	1	12.2×
Louisiana	$8,311	11	1	7.9×
United States	$12,768	2,141	121	6.9×

* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.

How much hospitals vary

Each hospital’s own average Medicare payment for MS‑DRG 328.

10th percentile	$9,417
25th percentile	$10,190
Median hospital	$11,810
75th percentile	$13,905
90th percentile	$17,046

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

326Stomach, Esophageal and Duodenal Procedures with MCC · $46,606
327Stomach, Esophageal and Duodenal Procedures with CC · $21,055

Questions

What did Medicare pay for MS‑DRG 328 in 2024?

An average of $12,768 per discharge across 2,141 fee-for-service discharges at 121 hospitals, $27.3M in total.

Which state paid the most for MS‑DRG 328?

California, at $18,216 per case; Louisiana paid the least, $8,311.

Where do these figures come from?

From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.